{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T18:59:05Z","timestamp":1793473145107,"version":"4.5.0"},"reference-count":9,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2009,1,2]],"date-time":"2009-01-02T00:00:00Z","timestamp":1230854400000},"content-version":"vor","delay-in-days":612,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2007,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background<\/jats:bold>: Transoral CO<jats:sub>2<\/jats:sub> laser surgery for selected supraglottic tumors results in improved postoperative function and decreased morbidity, with comparable survival to open surgery. Recently, robot\u2010assisted techniques have been reported for the management of supraglottic lesions. There are no reports in the English literature of robotic technology coupled with CO<jats:sub>2<\/jats:sub> laser technology. Our objective was to report the use of such technology.<\/jats:p><jats:p><jats:bold>Study Design<\/jats:bold>: Experimental resection of the supraglottis in a cadaver and a dog model using a commercially available surgical robot coupled with CO<jats:sub>2<\/jats:sub> laser technology. Initial human experience with such technology is reported.<\/jats:p><jats:p><jats:bold>Methods<\/jats:bold>: With use of a hollow core fiber that allows the transmission of CO<jats:sub>2<\/jats:sub> laser energy linked to the daVinci Surgical Robot, a supraglottic laryngectomy was performed in an edentulous female cadaver. The FK Laryngo\u2010Pharyngoscope was used for exposure. In a second experiment, a supraglottic partial laryngectomy was performed in an 80 pound dog. On the basis of our experimental experience, a CO<jats:sub>2<\/jats:sub> laser robotic\u2010assisted supraglottic laryngectomy was attempted in three patients.<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: Removal of the supraglottic larynx in both a cadaver and canine experimental models was believed to be satisfactory using this technology. Bleeding was easily controlled in the live canine model. A 74\u2010year\u2010old woman with a large supraglottic mass for which she had been offered a total laryngectomy was resected successfully with this technology. The FK Laryngo\u2010Pharyngoscope provided excellent exposure. The patient was able to swallow without difficulty on postoperative day 5. Follow\u2010up endoscopic examination at 1 month showed no evidence of residual laryngeal tumor. Robot\u2010assisted procedures were attempted in two additional patients, but adequate exposure could not be achieved, and more traditional techniques were performed.<\/jats:p><jats:p><jats:bold>Conclusions<\/jats:bold>: The use of the daVinci Surgical robot coupled with CO<jats:sub>2<\/jats:sub> laser technology is feasible, as demonstrated by our experimental and clinical data. Although further development of the robotic technology is required at present, the use of robotics coupled with CO<jats:sub>2<\/jats:sub> laser technology may have important implications in the management of supraglottic laryngeal cancer in the future.<\/jats:p>","DOI":"10.1097\/mlg.0b013e31803330b7","type":"journal-article","created":{"date-parts":[[2007,4,18]],"date-time":"2007-04-18T08:04:08Z","timestamp":1176883448000},"page":"817-820","source":"Crossref","is-referenced-by-count":136,"title":["Transoral Robot\u2010Assisted CO<sub>2<\/sub> Laser Supraglottic Laryngectomy: Experimental and Clinical Data"],"prefix":"10.1002","volume":"117","author":[{"given":"C Arturo","family":"Solares","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marshall","family":"Strome","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,1,2]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1978.88.9.1399"},{"key":"e_1_2_7_3_2","first-page":"337","volume-title":"en la via Aerodigestiva Superior","author":"Steiner W","year":"2004"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000159202.04941.67"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000164714.90354.7D"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000170848.76045.47"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770277-8"},{"key":"e_1_2_7_8_2","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/S0030-6665(20)32014-4","article-title":"Laser physics.","volume":"15","author":"Polanyi TG","year":"1983","journal-title":"Otolaryngol Clin North Am"},{"key":"e_1_2_7_9_2","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1016\/S0030-6665(20)30288-7","article-title":"Laser physics and tissue interactions.","volume":"29","author":"Reinisch L","year":"1996","journal-title":"Otolaryngol Clin North Am"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000171021.73635.3b"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1097%2FMLG.0b013e31803330b7","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1097\/MLG.0b013e31803330b7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T11:16:00Z","timestamp":1700046960000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1097\/MLG.0b013e31803330b7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,5]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2007,5]]}},"alternative-id":["10.1097\/MLG.0b013e31803330b7"],"URL":"https:\/\/doi.org\/10.1097\/mlg.0b013e31803330b7","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,5]]}}}